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Common malignant tumors of digestive tract, prevention and screening program (2020 edition)

Nyob rau hauv 2017, Lub Tebchaws Ntiaj Teb Kev Noj Qab Haus Huv tau thov cov tswv yim ntawm"Nrhiav kom pom ntxov, kev paub thaum ntxov, thiab kho thaum ntxov", uas yog npaj kom nco ntsoov rau pej xeem kom them taus cov tsos mob ua ntej. Tom qab siv lub tshuab tshuaj,Peb lub tswv yim no tau dhau los ua txoj hauv kev zoo tshaj plaws los tiv thaiv mob qog noj ntshav.

Raws li "cov ntawv tshaj tawm hauv ntiaj teb no 2020" tso tawm los ntawm tus uas, nws tau kwv yees thoob ntiaj teb yuav nce rau 3040 thiab tus naj npawb ntawm cov neeg tuag yuav ncav cuag 16.3 lab.

Hauv 2020, yuav muaj 19 lab tus qog nqaij hlav tshiab hauv ntiaj teb.Lub sijhawm ntawd, peb tus mob cancer loj nrog cov qog nqaij hlav loj tshaj plaws hauv lub ntiaj teb no (1,31 lab)Nyob rau hauv tus naj npawb ntawm cov qog nqaij hlav tshiab, cov mob hnyuv qog nqaij hlav cancer account rau 15.8% ntawm txhua tus mob cancer tshiab.

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Raws li peb txhua tus paub, Manhua mus hais txog ntawm lub qhov ncauj mus rau ntawm txoj hlab pas, lub plab, cov kwj dej loj (lub siab, nplooj siab, thiab lwm yam, Thiab cov Colorececum hauv cov qog nqaij hlav tshiab thiab cov qog nqaij hlav cancer thiab cov qog nqaij hlav tuaj yeem tau them cov qog noj ntshav, yog li cov qog noj ntshav kuj tseem yuav tsum tau them nyiaj rau cov qog noj ntshav, yog li cov qog noj ntshav, yog li cov qog noj ntshav tseem yuav tsum tau ua raws li "peb lub tswv yim thaum ntxov".

Xyoo 2020, cov naj npawb ntawm cov teeb meem tshiab cancer tshiab hauv kuv lub tebchaws tau mus txog 4,5 lab, thiab cov naj npawb ntawm cov mob cancer tuag yog 3 lab.Qhov nruab nrab ntawm 15,000 tus neeg tau kuaj mob qog noj ntshav txhua txhua hnub, thiab 10.4 neeg tau kuaj mob rau mob cancer txhua feeb. Thib tsib yog mob ntsws(Tso nyiaj rau 17.9% ntawm txhua tus mob cancer tshiab),Cancerectal Cancer (12.2%), Mob Cancurt (10.5%),Tus mob cancer mis (9.1%), thiab daim siab mob cancer (9%). Ntawm cov cancer Saum Tsib Nkuaj ib leeg,Lub plab zom mov cancers suav tau rau 31.7% ntawm txhua tus mob cancer tshiab.Nws tuaj yeem pom tias peb yuav tsum tau them nyiaj ntau rau kev kuaj pom thiab tiv thaiv cov hnyuv qog mob cancer.

Hauv qab no yog 2020 tsab (kev tshawb xyuas tshwj xeeb thiab kev tiv thaiv kev pom zoo tshwj xeeb ntawm tib neeg lub Chang Beihui qog) muaj kev tiv thaiv kev zom mob thiab tshuaj xyuas kev kuaj mob thiab tshuaj xyuas kev kuaj mob:

Colorectectal Cancer

Khoom High-Kev Pheej Yig

1.Asympomatic neeg tshaj li 1.45 xyoos;
2. Yam khoom tau tshaj li 240 nrog cov tsos mob anorectal rau ob lub lis piam ":
3.patients nrog mob plab rau lub plab rau lub sijhawm ntev;
4.4 Cov tib neeg tom qab phais mob cancer cancer;
5. Cov neeg nyob tom qab kev kho mob ntawm Colasectric Adenom;
6. Cov txheeb ze tam sim ntawd nrog tsev neeg keeb kwm ntawm Colorensal Cancer
7. Cov txheeb ze tam sim ntawd ntawm cov neeg mob kuaj mob kabmob uas muaj kabmob muaj txiaj ntsig uas muaj 20 xyoo

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Kev Ntsuas Cov Lus Taw Qhia

1. "Cov neeg dav dav" tshuaj ntsuam xyuas ua tau raws li 1-5:
(1) Kev tshuaj ntsuam xyuas mob cancerectionection) pib thaum muaj hnub nyoog 45 xyoos, tsis hais tus txiv neej lossis poj niam, fiber) yog kuaj tau ib xyoos ib zaug
Txoj kev chinesoscopy txhua 10 xyoo kom txog thaum muaj hnub nyoog 75;
(2) Cov hnub nyoog 76-85, uas muaj kev noj qab haus huv, thiab cov uas muaj kev cia siab ntau dua 10 xyoo, tuaj yeem khaws cov khoom kom zoo nkauj.
2 nyob rau hauv txoj kab nrog "kev tshawb nrhiav kev kho mob ntawm cov neeg hauv tsev neeg tau muaj tsev neeg keeb kwm ntawm ColorectActal Cancer:
(1) 1 thawj-qib txheeb ze nrog cov qib siab-qib siab adenoma lossis mob (hnub nyoog ntawm kev nkag siab yog tsawg dua 60 xyoo), 2
Thawj cov neeg txheeb ze thiab saum toj nrog cov neeg mob siab-qib siab), pib thaum muaj hnub nyoog 10 xyoo (txhua hnub nyoog pib), pib ntawm lub hnub nyoog ntawm tus neeg ua haujlwm hluas), fobt kev tshuaj ntsuam ib zaug xyoo, ib zaug txhua 5 xyoos kev cai ncaws pob;
(2) Cov ncauj lus pheej hmoo siab nrog tsev neeg zaj keeb kwm ntawm thawj cov neeg txheeb ze (tsuas yog 1, thiab lub hnub nyoog ntawm kev nkag siab yog siab dua 60 xyoo):
Pib kuaj thaum muaj hnub nyoog 40 xyoo, nrog kev sim FOBT txhua xyoo thiab ib txoj kev ua chinesoscopy txhua kaum xyoo. 3 Kev tshuaj ntsuam ntawm cov neeg hauv tsev neeg ntawm "Cov kab lis piam cancectecten" rooj sib tham 7;
Rau cov neeg hauv tsev neeg muaj FAP thiab HNPCC, Gene hloov kev xeem tau raug pom zoo thaum cov gene sib hloov hauv thawj rooj plaub hauv tsev neeg yog meej.
(1) Rau cov uas nrog Genake kev sib hloov, tom qab muaj 20 xyoo, ib txoj hnyuv hnyuv yuav tsum tau ua txhua 1-2 xyoos; (2) Rau cov uas muaj kev sim siab ua tsis zoo rau cov thawj coj, cov pejxeem dav dav yuav tsum tau kuaj. 4 Cov Qauv Pom Zoo rau Kev Kuaj:
(1) Fobt kev sim + Kev tshawb nrhiav kev sib tham yog lub ntsiab ntawm HAN kev tshawb nrhiav, thiab cov pov thawj txaus:
(2) Ntau lub hom phiaj Gene tau txais cov ntshav yuav pab txhim kho qhov tseeb ntawm kev suav, thiab tus nqi yog kim; (3) Yog tias muaj mob tso cai, kev tshuaj ntsuam tuaj yeem nqa los ntawm kev ua kom cov quav thiab cov kab ntshav.

Cov lus qhia tiv thaiv tiv thaiv

1. Kev tawm dag zog tuaj yeem txo cov txheej txheem tshwm sim ntawm cov qog, ua raws li kev ua kis las, thiab ua luam dej kom tsis txhob rog;
2. Noj qab haus huv ntawm lub hlwb noj qab haus huv, nce ntxiv cov pa roj fiber ntau thiab cov txiv ntoo tshiab, thiab zam cov khoom noj muaj roj thiab cov protein ntau;
3 Tsis yog-lub cev los tiv thaiv thiab tshuaj tiv thaiv tshuaj kuj yuav muaj peev xwm tiv thaiv tus kabmob hnyuv. Cov neeg laus yuav sim cov tshuaj aspirin tsawg, uas tuaj yeem txo cov kev pheej hmoo ntawm cov kab mob plawv thiab cerebrovases thiab pehawm. Sab laj tus kws kho mob rau kev siv tshwj xeeb.
5.Txoj kev haus luam yeeb kom tsis txhob muaj nws lub sijhawm lom zem ntev thiab ua rau muaj kev txhawb nqa Qinghua Dao.

Lub plab cancer

Khoom High-Kev Pheej Yig

Txhua tus neeg muaj ib qho ntawm cov xwm txheej hauv qab no yog qhov khoom siv pheej hmoo;
1. Ntau dua 60 xyoo;
2 muaj mob nruab nrab thiab mob av metrophic;
3. Mob mob plab zom mov;
4. Lub plab polyps;
5. Giant Quav Kos Npe ntawm Paus Zog Mucosa;
6. Posterative seem ntawm lub plab rau cov kab mob tsis quav ntsej;
7. REMNANANT LUB XIM Tom qab Kev phais mob qog noj ntshav (6-12 lub hlis tom qab phais);
8. Helicobacter pylori muaj mob;
9. Ib tsev neeg meej li keeb kwm ntawm cov plab hnyuv siab lossis esophageal;
10. Pernious Anemia:
11. Lub tsev neeg muaj adenomatous polyposis (FAP), muaj keeb kwm tsis muaj-pwm tsis ncaj (HNPCC) tsev neeg keeb kwm.

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Kev Ntsuas Cov Lus Taw Qhia

Hnub nyoog> 40 Xyoo nrog Kev Mob plab, Acid RegtricT, thiab lwm yam mob plab zom mov, lub plab zom mov, cov plab zom mov ntawm cov plab hnyuv, cov plab zom mov ntawm cov plab zom mov, cov mob plab zom mov, lub plab zom mov, lub plab zom mov, cov pa roj plab, cov plab zom mov thiab mob plab hnyuv epithelial Atypia Hyperplasia thiab lwm yam txhab thiab khoom nrog tsev neeg keeb kwm ntawm cov qog yuav tsum tau gastroscopy tsis tu ncua raws li kws kho mob cov lus pom zoo.

Cov lus qhia tiv thaiv tiv thaiv

1. Tsim kev noj zaub mov zoo thiab cov qauv kev noj haus, tsis overhating;

2. Kev tshem tawm ntawm Helicobacter pylori;

3. Txo cov khoom noj txias, ntsim, overheated, thiab cov zaub mov tawv, nrog rau cov khoom noj ntsev xws li haus luam yeeb thiab pickled

4. Kev txiav luam yeeb;

5. Haus tsawg los yog tsis muaj dej cawv;

6. So thiab decompress tsim nyog

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Esophageal Cancer

Khoom High-Kev Pheej Yig

Muaj hnub nyoog> 40 xyoo thiab tau raws li ib qho ntawm cov kev pheej hmoo hauv qab no:
1. From the high-incidence area of ​​​​esophageal cancer in my country (the most dense area of ​​​​esophageal cancer in my country is located in Hebei, Henan and Shanxi provinces in the south of Taihang Mountain, especially in Cixian County, hauv qinling, lub roob, sab qaum teb Sichuan, Fujian, sab qaum teb Jiangsu, etc. Av thiab cov organic ua ke muaj cov chaw siab);
2. Cov tsos mob plab hnyuv siab raum, xws li xeev siab, ntuav, mob plab, acid regurgitation, noj cov tsos mob tsis xis nyob thiab lwm yam tsos mob;
3. Tsev Neeg Keeb Kwm ntawm Essophageal Mob:
4. Txom Nyem los ntawm Esophageal precancerous tus kab mob lossis mob ua ntej:
5. Muaj kev pheej hmoo siab rau cov kab mob esophageal xws li kev haus luam yeeb xws li haus luam yeeb, fond ntawm cov zaub mov kub, surmous cell carcinoma ntawm lub taub hau thiab caj dab lossis ua pa lossis ua pa lossis ua pa);
6. Kev txom nyem los ntawm periesophageal reflux kab mob (CERD);
7. Tib neeg Papillomavirus (HPV).

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Kev Ntsuas Cov Lus Taw Qhia

Cov neeg ntawm kev pheej hmoo siab ntawm esophageal cancer:

1. Cov endoscopy zoo ib yam, ib zaug txhua ob xyoos;

2 Endoscopy nrog paturalological tshawb pom ntawm cov dysplasia me me, endoscopy ib xyoos ib zaug;

3 Endoscopy nrog patherological tshawb pom ntawm cov dysplate ntau, endoscopy txhua rau lub hlis

Cov lus qhia tiv thaiv tiv thaiv

1. Tsis txhob haus luam yeeb lossis txiav luam yeeb;

2. Ib qho dej cawv me me lossis tsis muaj cawv;

3. Noj cov zaub mov tsim nyog, noj ntau cov txiv hmab txiv ntoo thiab zaub tshiab

4. Txhim kho kev tawm dag zog thiab tswj qhov hnyav;

5. Tsis txhob noj zaub mov kub lossis haus dej kub.

Kev mob cancer

Khoom High-Kev Pheej Yig

Cov txiv neej muaj hnub nyoog 35 thiab cov poj niam muaj hnub nyoog tshaj li 45 nyob rau hauv ib qho ntawm cov pab pawg hauv qab no:

1. Kab mob siab ntev B (HBV) lossis mob kab mob siab c (HCV);

2. Cov neeg muaj tsev neeg zaj keeb kwm ntawm daim siab mob cancer;

3. Cov neeg mob uas muaj lub siab mob siab los ntawm Schaistosomiasis, dej cawv, ua ntej ntawm kev ua zaubcia thawj zaug, thiab lwm yam.;

4. Cov neeg mob nrog cov tshuaj ua kom lub siab puas;

5. Cov neeg mob nrog cov kab mob metabolic, suav nrog: cov tshuaj tiv thaiv kab mob uas txiav glycogromaticin tsis txaus, qeeb gorphyria, tyrosinemia, thiab lwm yam;

6. Cov neeg mob nrog kev mob siab li cas;

7. Tsis muaj cawv ua npaws lom zem (NAFLD) cov neeg mob

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Kev Ntsuas Cov Lus Taw Qhia

1. Cov txiv neej tshaj 35 xyoos thiab cov poj niam muaj hnub nyoog tshaj 45 xyoos nrog kev pheej hmoo siab muaj mob siab rau cov mob cancer;

2. Ua ke ntawm Ntshav Alpha-Fetoprotein (AFP) thiab nplooj siab b-ultrasound, ntsuas txhua 6 lub hlis

Cov lus qhia tiv thaiv tiv thaiv

1. Tshuaj tiv thaiv kab mob siab B;

2. Cov neeg mob uas muaj kab mob siab yuav tsum tau txais kev kho mob tawm tsam sai li sai tau los tswj cov kab mob siab

3. Tso tseg los ntawm lossis txo kev haus cawv;

4. Noj lub teeb noj khoom haus thiab txo cov khoom noj uas muaj roj

5. Zam kom muaj cov zaub mov pwm.

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Mob Cancer

Khoom High-Kev Pheej Yig

Cov neeg muaj hnub nyoog tshaj 40 xyoos, tshwj xeeb tshaj yog muaj hnub nyoog 50 xyoos, nrog ib qho ntawm cov hauv qab no (cov khoom thib rau tsis nce kev pheej hmoo mob qog nqaij hlav cancer, tab sis tshuaj ntsuam feem ntau tsis ua):

1. Tsev neeg keeb kwm ntawm pancreatic cancer thiab ntshav qab zib;

2. Muaj keeb kwm ntawm kev haus luam yeeb ntev, haus, muaj rog thiab muaj protein ntau;

3. Nruab nrab thiab lub plab zom mov tag nrho, tsis xis nyob, mob plab tsis pom tseeb, thiab cov tsos mob ploj, raws plab, thiab lwm yam .;

4. Rov ua ntu zus ntawm cov roj pancreatitis, tshwj xeeb tshaj yog cov qog nqaij hlav canceric, thiab cov qog cystic Adenom,

5. Tsis ntev los no tsis ntev los nag ntawm cov ntshav qab zib mellitus tsis muaj tsev neeg li keeb kwm;

6. Helicobacter pylori (HP) Zoo, keeb kwm ntawm qhov ncauj ntawm lub cev, PJ Syndrome, thiab lwm yam.

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Kev Ntsuas Cov Lus Taw Qhia

1. Cov ncauj lus tau hais los saum toj no tau raug tshuaj xyuas nrog cov txiaj ntsig ntawm cov qog ntshav xws li ca19-9, thiab kab mob B-ultrasound tseem tuaj yeem muab kev pab ua ke;

2. CT lossis MR kev kuaj xyuas ib xyoos ib zaug rau cov pejxeem saum toj saud, tshwj xeeb yog cov tsev neeg keeb kwm thiab cov txhab uas twb muaj lawm pancreatic

Cov lus qhia tiv thaiv tiv thaiv

1. Txiav kev haus luam yeeb thiab tshuaj haus dej caw;

2. Txhawb txoj kev kaj, yooj yim zom, cov khoom noj muaj roj tsawg;

3. Noj cov nqaij qaib ntau, ntses thiab cw, thiab txhawb nqa kev noj "+" zaub qhwv, radish, zaub cob pob, thiab lwm yam;

4. Txhawb kev ua si sab nraum zoov aerobic

5. Txhawm rau tiv thaiv qhov tsis zoo ntawm benign qhov txhab, incaduction volcinous papilloma thiab lwm yam bencreatic gancreatic txhab yuav tsum nrhiav kev kho mob hauv lub sijhawm.

Peb, jiangxi zhuoruihua ntsuas ntsuas Co., Ltd.Biopsy force, Hemoclip, Poly Snare, Txau Catheter, Cov Cyidewire, Pob Zeb Retrieval Pob Tawb, Nasal Biliary Etciary thiab lwm yam.uas tau siv dav hauv EMR, ESD, ERCP. Peb cov khoom muaj cov ntawv pov thawj CE, thiab peb cov nroj tsuag yog hoo muaj ntawv pov thawj. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab dav tau txais cov neeg siv khoom ntawm kev lees paub thiab qhuas!


Lub Sijhawm Post: Sep-09-2022